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9605-001 (RPL)U) N CO T W 0 Z) CV) r O u) W r P_ Z ir� —0� W W rn Z M IO N 0C\J U Q Z Lr) FZ0 LL 0 J J m O UU rnH "t Z_ ob 5 �0 Q J LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury'that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date Date ' Signature of Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code),' (91"'lamexempt under Section B&PC.Jorthis-reason - Date ^7%v Signature of Owner;, WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ( ) I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. - ( ) I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier & policy no. are: Carrier Policy No. (This fiction need not be completed if the permit valuation is for $100.00 or less). (certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code,,.l shall forthwith comply withfthpse provisions:--=- yAate: 5" 3—F6 . Applicant Warning: Failure to secure Workers' Compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of -this applicaton agrees to, & shall, indemnity & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building '.cons ction, and hereby authorize representatives of this City to enter upon the above-mentioned propert"y-for-in"spection purposes, y t ' Signature ;Owner/Agent) •' - .4. . Date BUILDING PERMIT PERMIT `�1 - — CONTROL# 3.245 DATE .511196 VALUATION re7.Ji65.04) LOT, TRACT JOB SITE ADDRESS 53-905 AVY. tt.9)A •.�l1;!:1LM�iiiDAS APN 774-175-120 OWNER CONTRACTOR/DESIGNER/ENGINEER G RT 00.I3V A CLM DES O'd N1iKIRIA1.DE>Z.: :5 SiU5 A.V�ENIDA. BERMUDAS LA. QLI:fN1`A. CA 92253 CRL4 USE OF PERMIT POO L.ANDJOltSR POOL/ 10V Y0 ARDE N ;BLOCK WAL1A""**INVEST1OX.f ION't U 9WIC)SE"O i''D.IZ S'TA.RTINO d ill!d;'i'f2:ll?� i'iciN'S }'9 Ic"fil f ►�i'"4214(t 1,". f't1T,t, Y ER WAIVED AM) PARTIAL MOM APTY14 t) F'OR RARRIE RS PROVIDW 11Y 011711' )--Olt FN(CAVATtON IN f;'I,rY Or 1E1rrw r.) WA.'i' ,"Ai ANf)JOK SPA, ti,itf*.00 LS S Ff. WALL L I40W LF WSTIMN113 .) CO;WC OF CONSTRUCTION PE14 %JIT FX`. ,-NUMMARY PLANT-liECK:.FER EIEC f i(3�939-31 . 5 4211�.0(�0�0 ��ti.i[iAG fa4E;CHAN.1C.AL V17Z -- POOL 11014(uy� {ee00O t (.I C1,1ii2f�;AL t' VA:' ••• � d...•I, 101 -000 -420 -WO PLUNIBING.FFi, -» KX)L E0E-0)_119.000 $27.00 1.IdVI.s,S'.T.t%iA'i'COiVT'iis IOi.-C)(iU..E�!3-(Xi0 �I2.QO 1/ n U13 ::ON:�"i'ktJC SON AND KA14 C1412Ciw / u 13:85 E'RfrPAID FS 1 ;S $248.65 $0.00", MAY 0 3.1996- .. OTAL PERM Yr FERS O'uE NOW By RECEIPT DATEBY DA19 D INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS ' Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Neater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection - Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final Utility Notice (Perm) 1 -1 Y V 2' LH W" 1 N "1'H Contractor Address Owner Job Address _S3-�oS/I0 ReRVAu This form shall be posted on the job with the Building Inspection Card at all times it. conspicuous place. -It is the responsibility of the General Contractor or the Owner/Buil to monitor the sub -contractors that are on this list are the same persons performing work. Any changes of this list must be approved by the City of La Quinta Department Building and Safety prior to work being performed by'a changed sub -contractor. Failure comply will result in a stoppage of work and/or the voidance of building permit. TRADE SUB -CONTRACTOR NAME CONTRACTOR'S LICENSE NO. WORKMAN COMP. NO. ON FILE CITY BUSINESS LICENSE NO. GRADE/ EXCAVATE{o- I;ir dg 2 Z�'OOvs2 �3 PIPELINES F CEMENT/ FOUNDATIONS CEMENT/WALKS 6 DRIVES L^ ASPHALT N Al FRAMING N A STEEL/ STRUCTURAL MASONRY 5 �r PLUMBING SE L 1: LATHING N /� DRYWALL N fA PLASTERING �� WS`Oh( �- `oI'�8� % 4 HVAC S ELECTRICAL. 11 ROOFING ll SHEET METAL it FLOORS 1� GLASS/ GLAZING 1( INSULATION 1► SEWAGE DISP it PAINTING/ DECORATING 11 TILE SrzL F CABINETS/ INSTALLATION N1� ORNAMENTAL METAL i l FENCES/ BLOCK WALLS LANDSCAPING 1i OTHERS �� OWNER/BUILDER. INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/ Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations including State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially, serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building permit, erroneously implying that the property owner is providing his�or her own labor and material personally. Building permits are not required to be signed by' property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. , Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEFT. OF BUILDING AND SAFETY 78-105 Calle Estado La Quinta,. CA 92253 (619)564-2246 FAX•�61.9)-564 -7 O NATURE /DATE S3 -T'c7S A u f- u PROPERTY ADDRESS ?4/n, IMI, PERMIT NUMBER(s) PLOT PLAN NAME c u 1� PHONE 564-1444. sTrus ADDRESS S 3 - - �� Ay F- ��G � t) A s TRACT/PARCEL MAP LOT ASSESSOR'S PARCEL NO. Provide Nortli�Arrow. REAR PROPERTY LINE ' ry- STREET AVE.a 3F—R/\AU DAS 284-263 REV 4/90 T4tyl 4 4a Q" May 2, 1996 78-495 CALLE TAMPICO - LA QUINTA, CALIFORNIA 92253 - (619) 777-7000 FAX (619) 777-7101 Mr. Greg Curdes 53-905 Avenida Bermudas La Quinta, CA 92253 SUBJECT: SETBACK ADJUSTMENT 96-407 LOCATION: 53-905 AVENIDA BERMUDAS Dear Mr. Curdes: CITY OF :LA O(JINTA MAY 2 REn BUILDING AND SAFETY This letter is to report approval of the setback adjustment application pursuant to Chapter 9.188 of the City of La Quinta Planning and Zoning regulations, subject to Conditions and according to the attached exhibits. SETBACK ADJUSTMENT REQUEST: To reduce the front yard setback from 5 -feet to 3 -feet for a private swimming pool. CONDITIONS: A. Obtain a building permit from the Building & Safety Department, B. Install perimeter five-foot high (solid) fencing with self-closing gates, and C. The mechanical equipment shall be placed a distance of 18 -feet from the common property line between each single family lot. After review it was determined that: 1. This adjustment is consistent with the intent and purpose of the Zoning Ordinance to allow development of single family houses and swimming pools in an S -R District. 2. There are special circumstances applicable to the property, including such factors as size, shape, topography, location or surroundings that justify sba96-407 MAILING ADDRESS - P.O. BOX 1504 LA OUINTA, CALIFORNIA 92253 �'a(� approval of the adjustment in that the private front yard area and lot are small, and greater separation is needed between the house and swimming pool to provide adequate walking surfaces around the pool (i.e., +160 sq. ft.) for the occupants and/or guests. 3. This adjustment will not be detrimental .to the health, safety, and general welfare of the community because the front yard improvements will be privately maintained and fenced to prohibit access to the improvements unless by the owner's permission. No noise impacts will occur . because the mechanical equipment. will be placed 18 -feet from the.common property lines between this house and his neighbor's house. Additionally, the' new improvements will be concealed behind a fenced enclosure both for safety and noise attenuation purposes. The Community Development Director has the authority to approve this request with Conditions provided the deviation is no greater than 20% of the allowable Zoning Code provision. If you wish to appeal this action, please contact me at (619) 777-7067. Very truly yours, Y GT. DEVELOPMENT DIRECTOR MSDELL Planner Attachments c: Kelly Tropple, Building & Safety Department sba96407 CASE NO: ""-14V q& - 4 (D-� CITY OF LA QUINTA PLANNING & DEVELOPMENT DEPARTMENT APPLICATION FOR SETBACK ADJUSTMENT FEE: $100..0.0 APPLICANT: Submit this form with two copies of a scaled site plan, drawn to adequately depict the nature. of the request. A nonrefundable fee of $100 is required when the Application is submitted. Check must be make payable to the "City of La Quinta". If the Applicant is not the owner of the property, a letter must be submitted by the owner authorizing the Applicant to execute.this document in his behalf. PLEASE PRINT OR TYPE APPLICANT/CONTRACTOR: G R es Q LAi .Roc --D - DATE S -1 -ft. CONTACT PERSON (IF DIFFERENT) MAILING ADDRESS: 5 ^ q O5 A v L PHONE ss) (City) (State) (Zip OWNER'S NAME: C -I R C 6"n (%A- ✓t D e S PHONE _ MAILING ADDRESS: al -170!5 /A Q C EISytst v�cD�4 S - (Address) (City) State) STREET ADDRESS OF PROPERTY: LEGAL DESCRIPTION OF PROPERTY: LOT # TRACT ASSESSOR'S PARCEL NUMBER: ADJUSTMENT REQUESTED:' COt;: S f= T t~ \0Q o, -.t T Pyu L ME REASON FOR REQUEST: 1. i^,mrEb btZ rE OF Y&4 JUSTIFICATION: No request for a Setback Adjustment shall be granted unless it is determined that it is consistent with the intend and purpose of this Ordinance; that there are special circumstances applicable to the property, including such factors as size, shape, topography, location or surroundings that justify the approval of the adjustment of the setback requirement, and that the adjustment will not be detrimental to the health, safety., and general welfare of the community.or be detrimental to property in the area of the parcel 'for which the ,adjustment is requested. FORM-013/CS Provide North Arrow REAR PROPERTY LINE I CASE NO �' X �� C 1 l,cJ T AVr 284-263 REV 4/90 1b P ILTEA A4,41D PLI, FRONT PROPERTY LINE STREET